| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,296 |
11,455 |
$671K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,340 |
3,887 |
$263K |
| 76830 |
Ultrasound, transvaginal |
2,621 |
2,507 |
$170K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
230 |
225 |
$144K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,060 |
2,028 |
$126K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,167 |
1,138 |
$106K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
704 |
630 |
$46K |
| 76801 |
|
422 |
383 |
$27K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
310 |
178 |
$20K |
| 59514 |
|
29 |
26 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
870 |
856 |
$12K |
| 81025 |
|
1,814 |
1,755 |
$11K |
| 58661 |
|
13 |
12 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
80 |
$5K |
| 54150 |
|
83 |
79 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
297 |
291 |
$4K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
264 |
260 |
$3K |
| 99385 |
|
43 |
43 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
65 |
$2K |
| 59025 |
Fetal non-stress test |
50 |
42 |
$1K |
| 59430 |
|
13 |
13 |
$1K |
| 81002 |
|
26 |
25 |
$63.68 |
| 0503F |
|
82 |
81 |
$0.00 |
| 0500F |
|
167 |
162 |
$0.00 |
| 99024 |
|
14 |
13 |
$0.00 |